SGN2016-00005 a
CITY OF TIGARD SIGN PERMIT
■ Permit#: SGN2016-00005
COMMUNITY DEVELOPMENT Date Issued: 01/12/2016
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S110AB00200
Jurisdiction: Tigard
Name of Business: Headlines Salon
Business Address: 14357 SW PACIFIC HWY
Applicant/Agent: Cooke, Jenelle
Work Description: New 29 sq. ft., internally-illuminated wall sign on E face of building. Building and
electrical permits required.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 1.8'x 16'
Total Sign Area: 29
Wall Area: 400
Wall Face(Direction): East
Sign Height: 20 ft.
Projection From Wall: 10 in.
Illumination: Internal
Materials: aluminum and acrylic
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $197.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By:
Permittee Signature: ���
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Sign Permit Application
1� .9001�
SIGN LOCATION ,/
Address: f Y3 T fu A //Yy Suite #: REQUIRED SUBMITTAL
/ ELEMENTS
City/state: r (c l��— Zip: 9 �s Y �2 copies of elevations on 8'/2"x 11"
Tenant or business: ri�u�ja r[,o_s f��u Y� or 11"x 17"pages(Wall sign
elevations must include dimensions
Property owner name: f� ��� of sign and wall face and show the
4 � Q"n ,�-�:
location of sign on the wall.
Address: .1 Freestanding sign elevations must
City/state: �V zip: Cf 7��c� be drawn to scale.)
-
Phone:�W toZQ--doh Email: �5 6�n,�y,� $2 copies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11"x 17"
pages(not required for wall signs
Sign contractor: )
Address: $ List or diagram of all existing sign
ensions and square footage
City/state: �p� Application Fee
Phone: Emil;
CCB License#: Expiration date: NOTES:
Contact person: Freestanding signs over 6 ft.in height
and walls signs of which any element
weighs 20 lbs.or more require a
SIGN DATA(Complete all items in this section) building permit for construction.
If any element of a wall sign weighs
70 lbs.or more,plans must be prepared
/ TYPE (Check all that apply) by a structural engineer.
W- New sign ❑ Freestandin ❑ F,ectrical
g 'y` • Building permits require 2 sets of
El Alteration to El Freeway Wall construction drawings and,if sign is
freestanding,2 copies of site/plot plan
existing sign ❑ Roof ❑ Other and 2 sets of engineering must be
Sign#: submitted with building permit
application.
Sign dimensions: -2--1" (h) x (w) = o�`l sq.ft. sign area
New sign: sq.ft. + Existing sign area sq.ft. = Total FOR STAFF USE •
NLY
Total sign area: ?_/ sq.ft./ _Y00 building face sq.ft.= 7 %of bldg face CG n 016
Case No.:V !J -CMOs
Height to top of sign: ft.Projection from wall: O in.
Relateg Case—/No.(s):
�
Materials: Q,� ( u j,� I ! .0
v Fee:
Ap 'c ti n accepted:
Is the sign under 20 lbs.? ❑ Yes No 2 'b
By Date:
(Building Permit required if over 20 lbs.)
t
Direction wall faces (circle one): N S W NE NW SE SW App'c ' determined co7'Rk)
Will the sign have illumination? Yes ElNo
By: Date:
If yes,what type: WAIntemal ❑ External 1ACURPL4\Masters\land Use Applications Rev.03/03/2015
City of Tigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2
APPLICANTS
NOTE: Person specified as"Applicant"shall be designated"Permittee"and shall provide financial assurance for work.
*When the owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession with written
authorization from the owner or an agent of the owner. The owner(s)must sign this application in the space provided on the back of this
form or submit a written authorization with this application.
THE APPLICANT(S) SHALL CERTIFY THAT:
• If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the
conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,are true;and
the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such
statements are false.
• The applicant has read the entire contents of the application,including the policies and criteria,and understands the
requirements for approving or denying the application.
I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner
or authorized agent of the owner,and that plans submitted are in compliance with the City of Tigard.
SIGNATURES of rmh owner of the subject property required.
I Lisa. A iz
Applicant's signatur&J Print name Date
��� . ����� ,'�s,LLQ //1a/ ?�r �/ f
Owner's signature / I Print name L Date
Owner's signature Print name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. Tigard,Oregon 97223 9 wwwtigard-orgov 503-718-2421 • Page 2 of 2
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